NPIMap

Organization Active NPI

City of Harvard

Doing business as Harvard Rest Haven

  • Nursing Facility/Intermediate Care Facility
  • Harvard, NE
National Provider Identifier
1306833975
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
164002 Issued in NE
Legal business name
CITY OF HARVARD
Doing business as
Harvard Rest Haven
Practice address
400 E 7TH St
Box 546
Harvard, NE 68944-2117
Phone
(402) 772-7591
Fax
(402) 772-7111
NPI assigned
Sep 29, 2005
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristi L Sedersten
Title
Administrator
Phone
(402) 772-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 164002 NE Primary

Addresses

Primary practice location

400 E 7TH St
Box 546
Harvard, NE 68944-2117

Mailing address

400 E 7TH St
Box 546
Harvard, NE 68944-2117
Phone (402) 772-7591

Other identifiers 1

IdentifierTypeStateIssuer
164002MedicaidNE

Other names 1

  • HARVARD REST HAVEN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060310000367 NE Part A Provider - Skilled Nursing Facility 9739196007 Practice locations: Harvard, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306833975. Details of each certification follow.

Skilled nursing facility certification: CCN 285272

Legal name
CITY OF HARVARD
Doing business as
HARVARD REST HAVEN NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 2006
Last certification
Feb 27, 2025
Beds
30
Ownership / control type
City
Organization structure
OtherNon-profit
Enrollment address
400 E 7TH St
Harvard, NE 68944-2117
Nursing home name
HARVARD REST HAVEN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harvard Rest HavenCCN 285272 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - City
Certified
May 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3023.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0456147Harvard Rest Haven400 E 7TH St, Harvard, NE 68944Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

400 E 7th St
#546
Harvard, NE 68944
Phone (402) 772-7591

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Ljunggren Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2015 5%
5% Or Greater Security Interest Aug 15, 2015 5%
Corporate OfficerBoard Member May 2, 2022 5%
Operational/Managerial ControlBoard Member Aug 15, 2015 5%
Luana Vancampen Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2022 5%
5% Or Greater Security Interest Aug 15, 2015 5%
Corporate OfficerBoard Member Aug 15, 2015 5%
Operational/Managerial ControlBoard Member Aug 15, 2015 5%
Kristi Sedersten Individual 5% Or Greater Indirect Ownership Interest May 2, 2022 5%
5% Or Greater Security Interest May 2, 2022 5%
Corporate OfficerBoard Member May 2, 2022 5%
W-2 Managing Employee Mar 25, 2021
Operational/Managerial ControlBoard Member May 2, 2022 5%
Sharon Ryan Individual W-2 Managing EmployeeBusiness Officer Manager Mar 30, 2022
Glen Becker Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2015 50%
5% Or Greater Security Interest Aug 15, 2015 50%
Corporate DirectorChairman of Board of Directors Mar 10, 2015 50%
Operational/Managerial ControlChairman of the Board Aug 15, 2015 50%
Jodi Schulte Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2015 50%
5% Or Greater Security Interest Aug 15, 2015 5%
Corporate DirectorBoard Member Mar 10, 2015 5%
Operational/Managerial ControlBoard Member Aug 15, 2015 5%
Regina Juhl Individual Corporate Director Mar 1, 2022
W-2 Managing EmployeeAdministrator Mar 1, 2022
City of Harvard Organization, Harvard, NE Created for acquisition 5% Or Greater Direct Ownership Interest Mar 10, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1306833975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 7TH ST",
            "address_2": "BOX 546",
            "city": "HARVARD",
            "state": "NE",
            "postal_code": "689442117",
            "telephone_number": "402-772-7591",
            "fax_number": "402-772-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 7TH ST",
            "address_2": "BOX 546",
            "city": "HARVARD",
            "state": "NE",
            "postal_code": "689442117",
            "telephone_number": "402-772-7591",
            "fax_number": "402-772-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HARVARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "SEDERSTEN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-772-7591"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "164002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164002",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVARD REST HAVEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvard, NE

Sources for this page

Verify at the official NPI Registry.